Forsyth, Bruce Lee
Forsyth, Bruce Lee is an individual health care provider with primary practice located at 3700 Cross Park Dr , Bryan TX 77802-4137. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Forsyth, Bruce Lee can be contacted via phone (979) 774-9958.Contact Information
Primary practice address
3700 Cross Park Dr
Bryan TX 77802-4137
Phone: (979) 774-9958
Fax: (979) 774-9978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1114031 | Texas |
Profile Details
| NPI number | 1992799605 |
|---|---|
| LBN Legal business name | Forsyth, Bruce Lee |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Jan 11th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992799605 | NPPES |
| Texas | MEDICAID | 10061401 |
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